MICHAEL F. PINGREE MD PC


Address: 3465 S 4155 W Ste 4, West Valley City, UT 84120-2079
Phone: 8019660081

MICHAEL F. PINGREE MD PC (NPI# 1831387125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831387125
Entity Type Organization
Organization Name MICHAEL F. PINGREE MD PC
Practice Address 3465 S 4155 W Ste 4
West Valley City
UT 84120-2079
Mailing Address 3465 S 4155 W Ste 5
West Valley City
UT 84120-2081
Practice Telephone 8019660081
Practice Fax Number 8019660218
Mailing Telephone 8019660081
Mailing Fax Number 8019660218
Enumeration Date 2007-10-11
Last Update Date 2010-06-23
Authorized Official Name DR. MICHAEL F. PINGREE (PRESIDENT)
Authorized Official Telephone 8019660081
Authorized Official Credential M.D. PC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 152W00000X Optometrist 47809529934 UT Eye and Vision Services Providers
Y 156FX1100X Technician/Technologist
Specialization: Ophthalmic
51179711205 UT Eye and Vision Services Providers

Office Location

Street Address 3465 S 4155 W STE 4
City WEST VALLEY CITY
State UT
Zip Code 84120-2079

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Taxonomy Information

Taxonomy Code 156FX1100X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Ophthalmic

Taxonomy Definition

Definition to come...

Competitor

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City WEST VALLEY CITY
Zip Code 84120

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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